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British Association of Critical Care Nurses Position statement on the use of restraint in adult critical care units

Authors

  • Kate Bray,

    Corresponding authorSearch for more papers by this author
  • Karen Hill,

  • Wayne Robson,

  • Gill Leaver,

  • Nikki Walker,

  • Mary O'Leary,

  • Trish Delaney,

  • Dominic Walsh,

  • Melanie Gager,

  • Catheryne Waterhouse


  • Authors: Kate Bray, Professional Advisor BACCN, Nurse Consultant Critical Care, Sheffield Teaching Hospitals, Sheffield, UK; Karen Hill, Professional Advisor BACCN, Lead Nurse Practice Development, Intensive Care Unit, Southampton General Hospital, Southampton, UK; Wayne Robson, Nurse Consultant Critical Care, Chesterfield and North Derbyshire Royal Hospital, Chesterfield, UK; Gill Leaver, Service Improvement Lead, Thames Valley Critical Care Network, Reading, UK; Nikki Walker, Clinical Educator, RICU/HDU, Royal Victoria Hospital, Belfast, UK; Mary O'Leary, Staff Nurse, Intensive Care Unit, Southampton General Hospital, Southampton, UK; Trish Delaney, Sister, Intensive Care Unit, University Hospital of Wales, Cardiff, UK; Dominic Walsh, Staff Nurse, Intensive Care Unit, Guy's and St Thomas Hospital, London, UK; Melanie Gager, Sister, Follow-Up Clinic, Royal Berkshire Hospital, Reading, UK; Catheryne Waterhouse, Lecturer Practitioner Neurosciences, Royal Hallamshire Hospital, Sheffield Teaching Hospitals, Sheffield, UK

*K Bray, Professional Advisor BACCN, Nurse Consultant Critical Care, Sheffield Teaching Hospitals, Sheffield, S10 2JF
E-mail:kate.bray@sth.nhs.uk

Summary

• Critical care nurses in the United Kingdom have become increasingly concerned about the use, potential abuse and risks associated with physical restraint of patients.

• Restraint in critical care is not only confined to physical restraint but can also encompass chemical and psychological methods

• There are concerns regarding the legal and ethical issues relating to the (ab)use of physical restraint techniques in critical care

• The aim of this article was to present the British Association of Critical Care Nurses (BACCN) position statement on the use of restraint in adult critical care units and to provide supporting evidence to assist clinical staff in managing this process.

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